The extended and advanced clinical practices of radiographers worldwide: A scoping review

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Medical Imaging and Radiation Sciences Pub Date : 2024-12-17 DOI:10.1016/j.jmir.2024.101818

Sarah Carlier , Lucia Fernandes Mendes , Leonor Pedreira Lago , Sandrine Ding

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引用次数: 0

Abstract

Aims

This scoping review aimed to (1) map the global evidence on extended and advanced clinical practices (ACP) performed by radiographers, and (2) provide an overview of the pillars (clinical practice, leadership and management, education, and research) they relate to, as well as the radiology areas and the geographical location where they were developed.

Methods

Articles were searched in MEDLINE, CINAHL and Embase, and grey literature in ProQuest Dissertation and Theses. Studies concerning radiographers or healthcare professionals with an equivalent title (e.g., radiation technologist) performing extended role or an ACP, regardless of their medical imaging setting or country were included. The review was undertaken following JBI methodological guidance for scoping reviews. The titles and abstracts of the retrieved studies, and then the full texts of the selected papers were assessed by two independent reviewers.

Results

A total of 2617 records were identified, of which 174 articles were included. Most of them reported practices performed in the UK (63 %), and less in Canada (19 %) and Australia (6 %). Advanced or extended practices were linked to all four pillars, but most concerned the clinical practice pillar. The main activities for this pillar were radiograph reporting (22 %), patient assessment and management (consultation) in radiotherapy (RT; 21 %), RT treatment planning (14 %) and ultrasound practice (13 %). Studies have also shown radiographers performing breast biopsies, medication prescription, and ultrasound and CT scan reports. The main fields of radiology concerned by the changing roles were radiotherapy (42 %) and conventional radiography (36 %). 

Conclusion

Extended or advanced practices are achieved through a wide variety of activities around the world. This scoping review constitutes a knowledge base on the evolution of the practices of radiographers and should contribute to their recognition and development.

查看原文本刊更多论文

全球放射技师的扩展和先进临床实践：范围审查。

目的：本范围综述旨在：(1) 对放射技师开展的扩展和高级临床实践（ACP）的全球证据进行摸底；(2) 概述这些证据所涉及的支柱（临床实践、领导力和管理、教育和研究），以及放射学领域和这些证据产生的地理位置：在 MEDLINE、CINAHL 和 Embase 中检索文章，在 ProQuest Dissertation and Theses 中检索灰色文献。涉及放射技师或具有同等职称（如放射技师）的医疗保健专业人员（无论其医疗成像环境或国家）履行扩展职责或 ACP 的研究均包括在内。综述按照 JBI 范围综述方法指南进行。检索到的研究报告的标题和摘要以及所选论文的全文均由两名独立审稿人进行评估：结果：共发现 2617 条记录，其中 174 篇文章被收录。其中大部分报告了在英国进行的实践（63%），在加拿大（19%）和澳大利亚（6%）进行的实践较少。高级或扩展实践与所有四大支柱都有联系，但大多数涉及临床实践支柱。这一支柱的主要活动是放射照片报告（22%）、放射治疗（RT）中的病人评估和管理（咨询）（21%）、RT 治疗计划（14%）和超声波实践（13%）。研究还显示，放射技师还从事乳腺活检、开药方、超声波和 CT 扫描报告等工作。角色变化涉及的主要放射学领域是放射治疗（42%）和传统放射摄影（36%）。结论：扩展或高级实践是通过世界各地的各种活动实现的。此次范围界定审查构成了放射技师实践演变的知识库，应有助于其认可和发展。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Medical Imaging and Radiation Sciences RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

2.30

自引率

11.10%

发文量

231

审稿时长

53 days

期刊介绍： Journal of Medical Imaging and Radiation Sciences is the official peer-reviewed journal of the Canadian Association of Medical Radiation Technologists. This journal is published four times a year and is circulated to approximately 11,000 medical radiation technologists, libraries and radiology departments throughout Canada, the United States and overseas. The Journal publishes articles on recent research, new technology and techniques, professional practices, technologists viewpoints as well as relevant book reviews.